Health Assessment in Nursing: Foundation for 2nd Semester
Success .
Mastering health assessment is crucial for nursing students in their 2nd semester. This foundation helps in understanding patient needs, performing accurate diagnostics, and improving care outcomes. Dive deeper into clinical skills...
Health Assessment in Nursing: Foundation for 2nd Semester
Success .
Mastering health assessment is crucial for nursing students in their 2nd semester. This foundation helps in understanding patient needs, performing accurate diagnostics, and improving care outcomes. Dive deeper into clinical skills to enhance your nursing journey.
Health assessmentHealth assessment
B.sc Nursing First YearB.sc Nursing First YearB.sc Nursing First Year
INC SYLLABUS
2024-25
A health assessment is a plan of care that identifies the specific needs of a
person.
Health assessment is the evaluation of the health status by performing a
physical exam after taking a health history.
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IntroductionIntroduction
A health assessment is a set of questions, answered by patients, that asks
about personal behaviors, risks, life-changing events, health goals and
priorities, and overall health.
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The purpose of a health assessment is to collect comprehensive data about a
patient's health status to:
Establish a baseline: Understand the patient's normal health parameters.
Identify health problems: Detect existing or potential health issues.
Develop a care plan: Formulate individualized interventions based on the
patient's needs.
Monitor health changes: Track any improvements or deterioration in health
status.
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PURPOSE OF HEALTH ASSESSMENTPURPOSE OF HEALTH ASSESSMENT
Promote health and wellness: Encourage preventive care and healthy lifestyle
practices
Support diagnosis and treatment: Provide essential data for accurate
diagnosis and medical decision-making.
Health assessments are essential in both clinical and community settings to
maintain and improve overall patient care.
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PURPOSE OF HEALTH ASSESSMENTPURPOSE OF HEALTH ASSESSMENT
Assessment
Diagnosis
Planing
Implementation
Evaluation
Stages
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Process of health assessmentProcess of health assessment
Assessment
Assessment is the first step and involves critical thinking skills and data
collection
Subjective
Objective
Subjective data involves verbal statements from the patient or
caregiver.
Objective data is measurable, tangible data such as vital signs, intake
and output, and height and weight
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Assessment
Complications to Monitor
The nursing diagnosis is the nurse's clinical judgment about the client's
response to actual or potential health conditions or needs.
There are 4 types of nursing diagnoses.
(1) Risk-focused
(2) Problem-focused
(3) Health promotion-focused
(4)syndrome-focused.
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Diagnosis
Documentation
The planning stage is where goals and
outcomes are formulated that directly
impact patient care based on EDP guidelines.
These patient-specific goals and the attainment of such assist in ensuring a
positive outcome.
Nursing care plans are essential in this phase of goal setting.
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Planning
Documentation
Implementation is the step that involves action or doing and the actual
carrying out of nursing intventions outlined in the plan of care.
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Implementation
Documentation
During the evaluation phase, nurses use critical thinking to analyze
reassessment data and determine if a patient's expected outcomes have
been met, partially met, or not met by the time frames established.
If outcomes are not met or only partially met by the time frame indicated, the
care plan should be revised.
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Evaluation